Chapter 14 altered reproductive function

The nurse is teaching a client experiencing menopause how to reduce the experience of physical discomforts. Which teaching will the nurse include? Select all that apply.

"Elimination of certain foods such as very spicy ones may help reduce symptoms."​​​​​​ "Relaxation techniques have been shown to help with physical effects of menopause."

While caring for a client who is 72 years old, the client expresses an interest in initiating hormone replacement therapy for postmenopausal symptoms. What is the nurse's best response?

"Hormone replacement is generally not recommended due to the increased risk of dementia."

A client with a family history of breast cancer has just learned that she carries the BRCA1 and BRCA2 mutation. When educating this client about follow-up care, which statement would be most appropriate?

"You should have more frequent breast evaluations using an MRI rather than standard mammography."

The nurse is caring for a male client whose testes have a decreased ability to release inhibin. Which other findings should the nurse anticipate? Select all that apply.

Increased luteinizing hormone Increased follicle-stimulating hormone

A female client's assessment identifies symptoms of dyspareunia and burning. The nurse is aware that the client may have developed:

Atrophic vaginitis

Which physiologic changes result in menopause?

Cessation of ovarian function and decreased estrogen levels

A client has been diagnosed with an anterior pituitary tumor. Synthesis and release of follicle-stimulating hormone (FSH) has become deranged. What are the potential consequences of this alteration in endocrine function?

Dysfunction of spermatogenesis

The health care provider suspects a diagnosis of endometriosis. Which procedure provides a definitive diagnosis?

Laparoscopy

The nurse conducting a class on lactation determines that the participants are understanding the information when they identify that milk is ejected from the breast ductile system in response to:

Oxytocin

Which physiologic process is caused by estrogens?

Promotion of ovarian follicle growth

A client is experiencing oligomenorrhea. The nurse interprets this as:

infrequent menstruation with periods more than 35 days apart.

Which hormone is responsible for breast development and the increase in body temperature that occurs with ovulation?

progesterone

The nurse is caring for a client recently diagnosed with testicular cancer. The nurse evaluates the medical record for which of these diagnostic tests, typically altered in this type of malignancy?

Alpha fetoprotein test

A client has developed a 5-cm Bartholin cyst and is experiencing pain, tenderness, and dyspareunia. Which treatment regimen is commonly prescribed for this condition? Select all that apply.

Antibiotics Moist heat applications Drainage of cyst

The nurse is caring for a client with impaired ovarian interstitial cell function. Which other finding should the nurse anticipate?

Decreased estrogen

Which assessment is most likely to reveal a potential exacerbation in a 70-year-old client's diagnosis of benign prostatic hyperplasia (BPH)?

Digital rectal examination

Select the factor that would increase a male's risk for the development of testicular cancer.

History of cryptorchidism

When educating a group of teenagers about sexually transmitted infections (STIs), the school nurse also mentions that cervical cancer has been associated with which viral infection?

Human papillomavirus

A female client is being seen in the ED with complaints of lower abdominal pain, dyspareunia, back pain, purulent cervical discharge, and the presence of adnexal tenderness and painful cervix on bimanual pelvic examination. The nurse suspects the client has pelvic inflammatory disease (PID), and will assess the client for:

Number of sexual partners

A client is complaining to the health care provider about several vague signs/symptoms. Which sign/symptom raises a "red flag" indicating the client may have developed endometrial cancer?

Painless abnormal bleeding

The nurse is caring for a client with androgen excess and ovulatory dysfunction. For which condition should the nurse anticipate treatment?

Polycystic ovary syndrome

Select the structure responsible for secreting fructose that will provide energy for spermatic motility.

Seminal vesicles

Leiomyomas are smooth-muscle fibroid tumors that usually develop in which part of the reproductive system?

The corpus of the uterus

Which complication is associated with prostatic hyperplasia?

Urine retention

The health care provider has just completed an assessment of a client who is experiencing erectile dysfunction. Select the psychogenic factors that may be contributing to the dysfunction. Select all that apply.

Anxiety Depression Schizophrenia